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Reconstruction of hand contracture by reverse ulnar perforator flap

Cengiz Eser, Eyüphan Gencel, Oben Karakus, Erol Kesiktas, Metin Yavuz.

Abstract
Hand burn scar contractures affect patients in aesthetic and functional aspects. After releasing these scars, the defects should be repaired. The reconstruction methods include primary suturation, Z plasty, skin grafting, local or free flaps, etc. All methods have their own advantages and disadvantages. One of the most useful flaps is the reverse ulnar perforator flap. We performed a two-staged procedure for repairing a post-burn contracture release defect in a 40-year-old male. In the first stage we applied reverse ulnar perforator flap for the hand defect, and ulnar artery and vein repair in the second stage. In conclusion, this two-staged procedure is a non-primary but useful option for hand and finger defects and prevents major vascular structure damage of the forearm.

Key words: Burned hand, contracture, reverse ulnar perforator flap



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